Physiological sensor

ABSTRACT

A patient monitor can noninvasively measure a physiological parameter using sensor data from a nose sensor configured to be secured to a nose of the patient. The nose sensor can include an emitter and a diffuser. The diffuser is configured to generate a signal when detecting light attenuated by the nose tissue of the patient. An output measurement of the physiological parameter can be determined based on the signals generated by the diffuser.

INCORPORATION BY REFERENCE TO ANY PRIORITY APPLICATIONS

This application is a continuation of U.S. patent application Ser. No. 15/451,288, filed Mar. 6, 2017, which is a continuation-in-part of U.S. patent application Ser. No. 15/448,971, filed Mar. 3, 2017, which claims the priority benefit under 35 U.S.C. § 119(e) of U.S. Provisional Application No. 62/303,743, filed Mar. 4, 2016, the entire contents of which are hereby incorporated by reference and should be considered a part of this specification. Any and all applications for which a foreign or domestic priority claim is identified in the Application Data Sheet as filed with the present application are hereby incorporated by reference under 37 C.F.R. § 1.57.

TECHNICAL FIELD

In general, the present disclosure relates to a wearable patient monitoring device, and methods and apparatuses for monitoring a patient's physiological information using the device. More specifically, the present disclosure relates to the connection of a patient monitoring device to a patient's nose.

BACKGROUND

Hospitals, nursing homes, and other patient care facilities typically include patient monitoring devices at one or more bedsides in the facility. Patient monitoring devices generally include sensors, processing equipment, and displays for obtaining and analyzing a medical patient's physiological parameters such as blood oxygen saturation level, respiratory rate, pulse, and a myriad of other parameters, such as those monitored on commercially available patient monitors from Masimo Corporation of Irvine, California. Clinicians, including doctors, nurses, and other medical personnel, use the physiological parameters and trends of those parameters obtained from patient monitors to diagnose illnesses and to prescribe treatments. Clinicians also use the physiological parameters to monitor patients during various clinical situations to determine whether to increase the level of medical care given to patients.

Examples of non-invasive patient monitoring devices include pulse oximeters. Pulse oximetry is a widely accepted noninvasive procedure for measuring the oxygen saturation level of arterial blood, an indicator of a person's oxygen supply. A pulse oximeter generally includes one or more light sources transmitting optical radiation into or reflecting off through a portion of the body, for example a digit such as a finger, a hand, a foot, a nose, an earlobe, or a forehead. After attenuation by tissue and fluids of the portion of the body, one or more photodetection devices detect the attenuated light and output one or more detector signals responsive to the detected attenuated light. The oximeter may, in various embodiments, calculate oxygen saturation (SpO₂), pulse rate, a plethysmograph waveform, perfusion index (PI), pleth variability index (PVI), methemoglobin (MetHb), carboxyhemoglobin (CoHb), total hemoglobin (tHb), glucose, and/or otherwise, and the oximeter may display on one or more monitors the foregoing parameters individually, in groups, in trends, as combinations, or as an overall wellness or other index. An example of such an oximeter, which can utilize an optical sensor described herein, are described in U.S. application Ser. No. 13/762,270, filed Feb. 7, 2013, titled “Wireless Patient Monitoring Device,” U.S. application Ser. No. 14/834,169, filed Aug. 24, 2015, titled “Wireless Patient Monitoring Device,” and U.S. application Ser. No. 14/511,974, filed Oct. 10, 2014, titled “Patient Position Detection System,” the disclosures of which are hereby incorporated by reference in their entirety. Other examples of such oximeters are described in U.S. application Ser. No. 09/323,176, filed May 27, 1999, titled “Stereo Pulse Oximeter,” now U.S. Pat. No. 6,334,065, the disclosure of which is hereby incorporated by reference in its entirety.

In noninvasive devices and methods, a sensor is often adapted to position a portion of the body proximate the light source and light detector. In one example, noninvasive sensors often include a clothespin-shaped finger clip that includes a contoured bed conforming generally to the shape of a finger. An example of such a noninvasive sensor is described in U.S. application Ser. No. 12/829,352, filed Jul. 1, 2010, titled “Multi-Stream Data Collection System for Noninvasive Measurement of Blood Constituents,” now U.S. Pat. No. 9,277,880, the disclosure of which is hereby incorporated by reference in its entirety. In another example, noninvasive sensors can include one or more sensing components, such as the light source and/or the photodetectors on an adhesive tape, such as described in U.S. application Ser. No. 13/041,803, filed May 7, 2011, titled “Reprocessing of a physiological sensor,” now U.S. Pat. No. 8,584,345, the disclosure of which is hereby incorporated by reference in its entirety.

The patient monitoring devices can also communicate with an acoustic sensor comprising an acoustic transducer, such as a piezoelectric element. The acoustic sensor can detect respiratory and other biological sounds of a patient and provide signals reflecting these sounds to a patient monitor. An example of such an acoustic sensor, which can implement any of the acoustic sensing functions described herein, is described in U.S. application Ser. No. 12/643,939, filed Dec. 21, 2009, titled “Acoustic Sensor Assembly,” and in U.S. Application No. 61/313,645, filed Mar. 12, 2010, titled “Acoustic Respiratory Monitoring Sensor Having Multiple Sensing Elements,” the disclosures of which are hereby incorporated by reference in their entirety. An example of such an acoustic sensor is also described in U.S. application Ser. Nos. 13/762,270, 14/834,169, and 14/511,974 referenced above.

SUMMARY

For purposes of summarizing the disclosure, certain aspects, advantages and novel features of several embodiments have been described herein. It is to be understood that not necessarily all such advantages can be achieved in accordance with any particular embodiment of the embodiments disclosed herein. Thus, the embodiments disclosed herein can be embodied or carried out in a manner that achieves or optimizes one advantage or group of advantages as taught herein without necessarily achieving other advantages as can be taught or suggested herein.

According to some embodiments, a noninvasive physiological monitoring device is configured to be secured to a nose of a patient. In some embodiments, the device can comprise an upper sensor body including a recess; a lower sensor body; an emitter positioned within the lower sensor body and configured to be secured to a wall of an alar region of the nose of the patient; and a joint configured to rotatably couple the upper sensor body to the lower sensor body. The joint can include an upper joint, a first lower joint, a second lower joint, and a pin. The upper joint can comprise a slot, wherein the upper joint extends from the upper sensor body towards the lower sensor body. The first lower joint can comprise a pin hole, wherein the first lower joint is positioned on a first side of the lower sensor body, and wherein the first lower joint extends from the lower sensor body towards the upper sensor body. The second lower joint can comprise a pin hole, wherein the second lower joint is positioned on a second side of the lower sensor body, and wherein the second lower joint extends from the lower sensor body towards the upper sensor body. The pin is configured to extend through at least a portion of the slot of the upper joint and the pin hole of the first lower joint and the pin hole of the second lower joint. The upper joint is positioned between the first lower joint and the second lower joint. The slot of the joint allows the upper sensor body to rotate about a longitudinal axis of the device. The joint prevents the upper sensor body from rotating about a transverse axis of the device. The transverse axis is perpendicular to the longitudinal axis.

In some embodiments, the device further comprises a biasing member coupled to a rear portion of the upper sensor body and a rear portion of the lower sensor body. In some embodiments, the biasing member is configured to space the upper sensor body from the lower sensor body. In some embodiments, a front portion of the upper sensor body is approximately parallel to a front portion of the lower sensor body in a neutral position.

In some embodiments, the slot of the joint allows the upper sensor body to translate vertically along the slot relative to the lower sensor body. In some embodiments, the device further comprises a diffuser coupled to the emitter and positioned within the recess of the upper sensor body, wherein the diffuser has an interface output responsive to light emitted by the emitter and transmitted through tissue of the nose of the patient, wherein the diffuser generates a signal output. In some embodiments, the device further comprises a signal processor in communication with the interface output of the diffuser, the signal processor configured to generate a measurement of physiological parameters based on the signal output generated by the diffuser.

In some embodiments, the lower sensor body includes a rear portion and a front portion, wherein an inner wall of the rear portion of the lower sensor body is positioned closer to the upper sensor body than the front portion of the lower sensor body. In some embodiments, the lower sensor body includes a rear portion, a front portion, and an intermediate portion transitioning between the rear portion and the front portion, wherein the intermediate portion is curved to conform to a shape of the nose of the patient. In some embodiments, the lower sensor body includes a rear portion, a front portion, and an intermediate portion transitioning between the rear portion and the front portion, wherein the intermediate portion is inclined relative to the front portion to conform to a shape of the nose of the patient.

In some embodiments, the lower sensor body includes a rear portion that is angled away from the upper sensor body. In some embodiments, the upper sensor body is generally parallel to a longitudinal axis of the device.

According to some embodiments, a method of calculating a measurement of physiological parameters of a patient comprises: transmitting light, by an emitter of a nose sensor, of at least first and second wavelengths through tissue of a nose of a patient; and determining the measurement of the physiological parameters, by the nose sensor, based on the output signal. The sensor can include an upper sensor body including a recess; a lower sensor body; a joint configured to rotatably couple the upper sensor body to the lower sensor body. The joint can include an upper joint, a first lower joint, a second lower joint, and a pin. The upper joint can comprise a slot, wherein the upper joint extends from the upper sensor body towards the lower sensor body. The first lower joint can comprise a pin hole, wherein the first lower joint is positioned on a first side of the lower sensor body, and wherein the first lower joint extends from the lower sensor body towards the upper sensor body. The second lower joint can comprise a pin hole, wherein the second lower joint is positioned on a second side of the lower sensor body, and wherein the second lower joint extends from the lower sensor body towards the upper sensor body. The pin is configured to extend through at least a portion of the slot of the upper joint and the pin hole of the first lower joint and the pin hole of the second lower joint. The upper joint is positioned between the first lower joint and the second lower joint. The slot of the joint allows the upper sensor body to rotate about a longitudinal axis of the device. The joint prevents the upper sensor body from rotating about a transverse axis of the device. The transverse axis is perpendicular to the longitudinal axis.

The emitter can be positioned within the lower sensor body and configured to be secured to an inner wall of the nose of the patient.

In some embodiments, the method further comprises: detecting, by a diffuser of the nose sensor, light attenuated by the tissue of the nose of the patient; and generating an output signal, by the nose sensor, based on the light detected at the nose of the patient.

In some embodiments, the diffuser is positioned within the recess of the upper sensor body. In some embodiments, the nose sensor further comprises a biasing member coupled to a rear portion of the upper sensor body and a rear portion of the lower sensor body. In some embodiments, the biasing member is configured to space the upper sensor body from the lower sensor body.

In some embodiments, the slot of the joint allows the upper sensor body to translate vertically along the slot relative to the lower sensor body. In some embodiments, the lower sensor body includes a rear portion and a front portion, wherein an inner wall of the rear portion of the lower sensor body is positioned closer to the upper sensor body than the front portion of the lower sensor body. In some embodiments, the lower sensor body includes a rear portion, a front portion, and an intermediate portion transitioning between the rear portion and the front portion, wherein the intermediate portion is curved to conform to a shape of the nose of the patient.

BRIEF DESCRIPTION OF THE DRAWINGS

Various embodiments will be described hereinafter with reference to the accompanying drawings. These embodiments are illustrated and described by example only, and are not intended to limit the scope of the disclosure. In the drawings, similar elements have similar reference numerals.

FIG. 1 illustrates a block diagram depicting one embodiment of a computer hardware system configured to run software for implementing one or more embodiments of the sensor system described herein.

FIG. 2A illustrates an embodiment of a nose sensor.

FIG. 2B illustrates an embodiment of a nose sensor.

FIG. 3 illustrates an exploded view of an embodiment of a nose sensor.

FIG. 4A illustrates a top view of a lower sensor body of an embodiment of a nose sensor.

FIG. 4B illustrates a bottom view of a lower sensor body of an embodiment of a nose sensor.

FIG. 4C illustrates a bottom perspective view of a lower sensor body of an embodiment of a nose sensor.

FIG. 5A illustrates a top view of an upper sensor body of an embodiment of a nose sensor.

FIG. 5B illustrates a bottom view of an upper sensor body of an embodiment of a nose sensor.

FIG. 6A illustrates a front view of an embodiment of a nose sensor.

FIG. 6B illustrates a front view of an embodiment of a nose sensor.

FIG. 7A illustrates a front cross-sectional view of an embodiment of a nose sensor.

FIG. 7B illustrates a front cross-sectional view of an embodiment of a nose sensor.

FIG. 8A illustrates a rear view of an embodiment of a nose sensor.

FIG. 8B illustrates a rear view of an embodiment of a nose sensor.

FIG. 9 illustrates a perspective view of an embodiment of a nose sensor.

FIG. 10A illustrates a side cross-sectional view of an embodiment of a nose sensor.

FIG. 10B illustrates a side view of an embodiment of a portion of a sensor body of a nose sensor.

FIG. 11 illustrates an embodiment of a nose sensor.

FIG. 12A illustrates a perspective view of an embodiment of a lower sensor body of an embodiment of a nose sensor.

FIG. 12B illustrates a side view of an embodiment of a lower sensor body of an embodiment of a nose sensor.

FIG. 12C illustrates a perspective view of an embodiment of a lower sensor body of an embodiment of a nose sensor.

FIG. 12D illustrates a bottom view of an embodiment of a lower sensor body of an embodiment of a nose sensor.

FIG. 12E illustrates a top view of an embodiment of a lower sensor body of an embodiment of a nose sensor.

FIG. 13A illustrates a perspective view of an embodiment of an upper sensor body of an embodiment of a nose sensor.

FIG. 13B illustrates a side view of an embodiment of an upper sensor body of an embodiment of a nose sensor.

FIG. 13C illustrates a bottom view of an embodiment of an upper sensor body of an embodiment of a nose sensor.

FIG. 13D illustrates a top view of an embodiment of an upper sensor body of an embodiment of a nose sensor.

FIG. 14 illustrates a spacer of an embodiment of a nose sensor.

FIG. 15 illustrates a portion of a lower sensor body of an embodiment of a nose sensor.

FIG. 16 illustrates an embodiment of a nose sensor.

DETAILED DESCRIPTION

Embodiments of the present disclosure will now be described with reference to the accompanying figures, wherein like numerals refer to like elements throughout. The following description is merely illustrative in nature and is in no way intended to limit the disclosure, its application, or uses. It should be understood that steps within a method may be executed in different order without altering the principles of the present disclosure. Furthermore, embodiments disclosed herein can include several novel features, no single one of which is solely responsible for its desirable attributes or which is essential to practicing the systems, devices, and methods disclosed herein.

General

This disclosure describes embodiments of noninvasive sensor systems that can enable a user to measure, view, compare, and/or download information relating to the respiratory system, for example, via a computing device, which may contain more advanced functionality than traditional systems and devices. The computing device can be, for instance, a cellphone or smartphone, tablet, laptop, personal digital assistant (PDA), and/or the like.

Generally, the embodiments described herein can depict several example user interfaces that may be implemented in a user computing device. The user interfaces shown can depict example displays generated by the noninvasive sensor system and may be implemented in any of the user devices described herein.

The user interfaces shown may be implemented in a mobile application such as an application that runs on a mobile operating system such as the AndroidTM operating system available from Google™ or the iOS™ operating system available from Apple™. Alternatively, or in addition to being a mobile application, the user interfaces shown can be implemented in a web application that runs in a browser.

The user interfaces shown are merely examples that illustrate some example embodiments described herein and may be varied in other embodiments. For instance, user interface controls shown may include buttons, touch-selective components and the like which may be altered to include any type of user interface control including, but not limited to, checkboxes, radio buttons, select boxes, dropdown boxes, textboxes or any combination of the same. Likewise, the different user interface controls may be combined or their functionality may be spread apart amongst additional controls while retaining the similar or same functionality as shown and described herein. Although touchscreen interfaces are shown, other devices may implement similar user interfaces with other types of user input devices such as a mouse, keyboard, stylus, or the like.

FIG. 1 illustrates a block diagram of an exemplary embodiment of a user monitoring system 100. As shown in FIG. 1, the system 100 includes a user monitor 102 comprising a processing board 104 and a host instrument 108. The processing board 104 communicates with a sensor 106 to receive one or more intensity signal(s) indicative of one or more parameters of tissue of a user. The processing board 104 also communicates with a host instrument 108 to display determined values calculated using the one or more intensity signals. According to an embodiment, the processing board 104 comprises processing circuitry arranged on one or more printed circuit boards capable of installation into the monitor 102, or capable of being distributed as some or all of one or more OEM components for a wide variety of host instruments monitoring a wide variety of user information. In an embodiment, the processing board 104 comprises a sensor interface 110, a digital signal processor and signal extractor (“DSP” or “processor”) 112, and an instrument manager 114. In general, the sensor interface 110 converts digital control signals into analog drive signals capable of driving sensor emitters, and converts composite analog intensity signal(s) from light sensitive detectors into digital data.

In an embodiment, the sensor interface 110 manages communication with external computing devices. For example, in an embodiment, a multipurpose sensor port (or input/output port) is capable of connecting to the sensor 106 or alternatively connecting to a computing device, such as a personal computer, a PDA, additional monitoring equipment or networks, or the like. When connected to the computing device, the processing board104 may upload various stored data for, for example, off-line analysis and diagnosis. The stored data may comprise trend data for any one or more of the measured parameter data, plethysmograph waveform data acoustic sound waveform, or the like. Moreover, the processing board 104 may advantageously download from the computing device various upgrades or executable programs, may perform diagnosis on the hardware or software of the monitor 102. In addition, the processing board 104 may advantageously be used to view and examine user data, including raw data, at or away from a monitoring site, through data uploads/downloads, or network connections, combinations, or the like, such as for customer support purposes including software maintenance, customer technical support, and the like. Upgradable sensor ports are disclosed in copending U.S. application Ser. No. 10/898,680, filed on Jul. 23, 2004, titled “Multipurpose Sensor Port,” incorporated by reference herein.

As shown in FIG. 1, the digital data is output to the DSP 112. According to an embodiment, the DSP 112 comprises a processing device based on the Super Harvard ARChitecture (“SHARC”), such as those commercially available from Analog Devices. However, a skilled artisan will recognize from the disclosure herein that the DSP 112 can comprise a wide variety of data and/or signal processors capable of executing programs for determining physiological parameters from input data. In particular, the DSP 112 includes program instructions capable of receiving multiple channels of data related to one or more intensity signals representative of the absorption (from transmissive or reflective sensor systems) of a plurality of wavelengths of emitted light by body tissue. In an embodiment, the DSP 112 accepts data related to the absorption of eight (8) wavelengths of light, although an artisan will recognize from the disclosure herein that the data can be related to the absorption of two (2) to sixteen (16) or more wavelengths.

FIG. 1 also shows the processing board 104 including the instrument manager 114. According to an embodiment, the instrument manager 114 may comprise one or more microcontrollers controlling system management, including, for example, communications of calculated parameter data and the like to the host instrument 108. The instrument manager 114 may also act as a watchdog circuit by, for example, monitoring the activity of the DSP 112 and resetting it when appropriate.

The sensor 106 may comprise a reusable clip-type sensor, a disposable adhesive-type sensor, a combination sensor having reusable and disposable components, or the like. Moreover, an artisan will recognize from the disclosure herein that the sensor 106 can also comprise mechanical structures, adhesive or other tape structures, Velcro wraps or combination structures specialized for the type of user, type of monitoring, type of monitor, or the like. In an embodiment, the sensor 106 provides data to the board 104 and vice versa through, for example, a user cable. An artisan will also recognize from the disclosure herein that such communication can be wireless, over public or private networks or computing systems or devices, or the like.

As shown in FIG. 1, the sensor 106 includes a plurality of emitters 116 irradiating the body tissue 118 with differing wavelengths of light, and one or more detectors 120 capable of detecting the light after attenuation by the tissue 118. In an embodiment, the emitters 116 comprise a matrix of eight (8) emission devices mounted on a flexible substrate, the emission devices being capable of emitting eight (8) differing wavelengths of light. In other embodiments, the emitters 116 may comprise twelve (12) or sixteen (16) emitters, although other numbers of emitters are contemplated, including two (2) or more emitters. As shown in FIG. 1, the sensor 106 may include other electrical components such as, for example, a memory device 122 comprising an EPROM, EEPROM, ROM, RAM, microcontroller, combinations of the same, or the like. In an embodiment, other sensor components may include an optional temperature determination device 123 or other mechanisms for, for example, determining real-time emission wavelengths of the emitters 116.

The memory 122 may advantageously store some or all of a wide variety data and information, including, for example, information on the type or operation of the sensor 106; type or identification of sensor buyer or distributor or groups of buyer or distributors, sensor manufacturer information, sensor characteristics including the number of emitting devices, the number of emission wavelengths, data relating to emission centroids, data relating to a change in emission characteristics based on varying temperature, history of the sensor temperature, current, or voltage, emitter specifications, emitter drive requirements, demodulation data, calculation mode data, the parameters for which the sensor is capable of supplying sufficient measurement data (e.g., HpCO, HpMet, HbT, or the like), calibration or parameter coefficient data, software such as scripts, executable code, or the like, sensor electronic elements, whether the sensor is a disposable, reusable, multi-site, partially reusable, partially disposable sensor, whether it is an adhesive or non-adhesive sensor, whether the sensor is a reflectance, transmittance, or transreflectance sensor, whether the sensor is a finger, hand, foot, forehead, or ear sensor, whether the sensor is a stereo sensor or a two-headed sensor, sensor life data indicating whether some or all sensor components have expired and should be replaced, encryption information, keys, indexes to keys or hash functions, or the like, monitor or algorithm upgrade instructions or data, some or all of parameter equations, information about the user, age, sex, medications, and other information that may be useful for the accuracy or alarm settings and sensitivities, trend history, alarm history, or the like. In an embodiment, the monitor may advantageously store data on the memory device, including, for example, measured trending data for any number of parameters for any number of users, or the like, sensor use or expiration calculations, sensor history, or the like.

FIG. 1 also shows the user monitor 102 including the host instrument 108. In an embodiment, the host instrument 108 communicates with the board 104 to receive signals indicative of the physiological parameter information calculated by the DSP 112. The host instrument 108 preferably includes one or more display devices 124 capable of displaying indicia representative of the calculated physiological parameters of the tissue 118 at the measurement site. In an embodiment, the host instrument 108 may advantageously comprise a handheld housing capable of displaying one or more of a pulse rate, plethysmograph data, perfusion quality such as a perfusion quality index (“PI™”), signal or measurement quality (“SQ”), values of blood constituents in body tissue, including for example, SpO₂, HbCO, HbMet, Hbt, or the like. In other embodiments, the host instrument 108 is capable of displaying values for one or more of Hbt, Hb, blood glucose, bilirubin, or the like. The host instrument 108 may be capable of storing or displaying historical or trending data related to one or more of the measured values, combinations of the measured values, plethysmograph data, or the like. The host instrument 108 also includes an audio indicator 126 and user input device 128, such as, for example, a keypad, touch screen, pointing device, voice recognition device, or the like.

In still additional embodiments, the host instrument 108 includes audio or visual alarms that alert caregivers that one or more physiological parameters are falling below predetermined safe thresholds. The host instrument 108 may include indications of the confidence a caregiver should have in the displayed data. In a further embodiment, the host instrument 108 may advantageously include circuitry capable of determining the expiration or overuse of components of the sensor 106, including, for example, reusable elements, disposable elements, or combinations of the same.

Although described in terms of certain embodiments, other embodiments or combination of embodiments will be apparent to those of ordinary skill in the art from the disclosure herein. For example, the monitor 102 may comprise one or more monitoring systems monitoring parameters, such as, for example, vital signs, blood pressure, ECG or EKG, respiration, glucose, bilirubin, or the like. Such systems may combine other information with intensity-derived information to influence diagnosis or device operation. Moreover, the monitor 102 may advantageously include an audio system, preferably comprising a high quality audio processor and high quality speakers to provide for voiced alarms, messaging, or the like. In an embodiment, the monitor 102 may advantageously include an audio out jack, conventional audio jacks, headphone jacks, or the like, such that any of the display information disclosed herein may be audiblized for a listener. For example, the monitor 102 may include an audible transducer input (such as a microphone, piezoelectric sensor, or the like) for collecting one or more of heart sounds, lung sounds, trachea sounds, or other body sounds and such sounds may be reproduced through the audio system and output from the monitor 102. Also, wired or wireless communications (such as Bluetooth or WiFi, including IEEE 801.11a, b, or g), mobile communications, combinations of the same, or the like, may be used to transmit the audio output to other audio transducers separate from the monitor 102.

For example, patterns or changes in the continuous noninvasive monitoring of intensity-derived information may cause the activation of other vital sign measurement devices, such as, for example, blood pressure cuffs.

Sensor System

This disclosure describes embodiments of patient monitoring devices that include one or more sensors and worn by a patient. For example, embodiments described herein and shown in the attached drawings include sensors and sensor systems for measuring physiological parameters. For example, sensors and physiological monitors described herein include hardware and/or software capable for determining and/or monitoring blood oxygenation levels in veins, arteries, a heart rate, a blood flow, respiratory rates, and/or other physiological parameters. For example, a pulse oximetry system may use an optical sensor clipped onto a patient's nose, for example, to measure a relative volume of oxygenated hemoglobin in pulsatile arterial blood flowing within, for example, the fingertip, foot, ear, forehead, or other measurement sites.

The monitoring device can be shaped and sized for use in various environmental settings and for use in various applications. For example, as described above, using the nose sensor, a medical patient can be monitored using one or more sensors, each of which can transmit a signal over a cable or other communication link or medium (e.g., see FIG. 0) to a physiological monitor. A nose sensor can be placed on the alar region of the nose. As referred to herein, “nose” can include to any portion of a patient's nose. For example, the patient's nose can include at least a portion of the patient's nostril, the alar region of the nose, an inner surface of the nose, and/or an outer surface of the nose, among other portions. As described above, the nose sensor can measure internal and/or external carotid arteries, veins, and/or other vessels to determine blood oxygenation levels and/or changes, heart rates, blood flow measurements, respiratory rates, and/or the like.

The nose sensor can also include sensing elements such as, for example, acoustic piezoelectric devices, electrical ECG leads, pulse oximetry sensors, and/or the like. The sensors can generate respective signals by measuring one or more physiological parameters of the patient. The signals can then be processed by one or more processors. The one or more processors then can communicate the processed signal to a display if a display is provided. In an embodiment, the display can be incorporated in the physiological monitor. In another embodiment, the display can be separate from the physiological monitor. In some configurations, nose sensor can have one or more cables connecting the sensor to a monitor, other sensors, and/or a display, among other components

FIGS. 2A-3 illustrate an embodiment of a nose sensor 200. The nose sensor can include an upper sensor body 204, a lower sensor body 202, and a cover 206. For example, FIGS. 5A-5B illustrate an embodiment of the upper sensor body 204. FIGS. 4A-4C illustrate an embodiment of the lower sensor body 202. The upper sensor body 204 can be rotatably coupled to the lower sensor body 202 by a joint 208. As described in more detail below, the joint 208 can include an upper joint 208A and a lower joint 208B. The upper joint 208A can extend outwardly from the upper sensor body 204 and the lower joint 208B can extend outwardly from the lower sensor body 202 such that when assembled, upper joint 208A extends towards the lower sensor body 202 and the lower joint 208B extends towards the upper sensor body 204. As described in more detail below and as shown in the figures, the lower sensor body 202 can include at least two lower joints 208B that extend from opposite sides of the lower sensor body 202. As described in more detail below, the upper sensor body 204 can include at least one upper joint 208A positioned approximately at a center of the upper sensor body 204 such that the upper joint 208A is configured to be positioned between the lower joints 208B when assembled.

The nose sensor 200 can be configured in a clip-type arrangement. Such an arrangement can allow the nose sensor 200 to be secured to (for example, clipped onto) a patient's nose. For example, the nose sensor 200 can be secured to the alar region of the patient's nose, among other portions. While the nose sensor 200 can have a generally clip-type arrangement, other arrangements are also contemplated.

As shown in FIG. 2A, the upper sensor body 204 can be spaced apart from the lower sensor body 202 by a biasing member 216. The biasing member 216 can include a spring, rubber material, and/or a compressible material, for example. Accordingly in a neutral position (for example as illustrated in, FIG. 2A), a rear portion of the upper sensor body 204 can be spaced apart from a rear portion of the lower sensor body 202. In such configurations, in a neutral position, a front portion of the upper sensor body 204 can be approximately parallel to a front portion of the lower sensor body 202. In some embodiments, in a neutral position, side walls of the lower sensor body 202 are generally parallel to side walls of the upper sensor body 204. In some embodiments, in the neutral position, the rear portion of the lower sensor body 202 is angled away from the upper sensor body 204. In some embodiments, in the neutral position, the rear portion of the lower sensor body 202 is angled towards from the upper sensor body 204. In some embodiments, in the neutral position, the rear portion of the lower sensor body 202 is approximately parallel to the upper sensor body 204.

In some embodiments, the rear portion and front portion of the lower sensor body 202 are connected by an intermediate portion. Generally, the rear portion, intermediate portion, and the front portion of the lower sensor body 202 are integrally formed. As shown in the illustrated embodiment, the rear portion smoothly transitions to the front portion along the intermediate portion. Generally, the intermediate portion can be curved and/or inclined. For example, as shown in FIG. 2A, in the neutral position, a bottom surface of the rear portion of the lower sensor body 202 is positioned above a bottom surface of the front portion of the lower sensor body 202. In some embodiments, all or a portion of a top surface of the rear portion of the lower sensor body 202 is positioned above all or a portion of a top surface of the front portion of the lower sensor body 202.

In some embodiments, the upper sensor body 204 can be generally flat and/or straight. For example, the upper sensor body 204 may not include a curved and/or included intermediate portion. In some embodiments, a front portion, a rear portion, and an intermediate portion of the upper sensor body 204 are approximately aligned.

Such configurations of the nose sensor 200 described herein can advantageously conform to the inner and/or outer walls of the patient's nose and/or can accommodate various nose shapes and/or sizes. For example, in use, at least the front portion of the lower sensor body 202 can be configured to be inserted into a patient's nose and engage an inner side wall of the patient's nose. In such configurations, at least the front portion of the upper sensor body 204 is configured to remain outside of the patient's nose and secure the nose sensor 200 to the patient along an outer wall of the patient's nose. The general curvature and/or shape of the nose sensor can allow the nose sensor 200 to easily accommodate various nose shapes and sizes. For example, the shape of the intermediate region of the lower sensor body 202 can conform to an inner surface of the patient's nose. Such configurations allow the nose sensor 200 to maintain a low profile and/or thickness. This can reduce the overall bulkiness of the sensor 200. Accordingly, the nose sensor 200 can be relatively lightweight and take up less space when secured to the patient. Thus, the nose sensor 200 can be less obtrusive and/or have enhanced aesthetics.

As shown in FIGS. 2A-6B, the nose sensor 200 includes a biasing member 216. In some embodiments, the biasing member 216 can include a compression spring, among other materials described herein.

The biasing member 216 can be in contact with or be coupled to the upper sensor body 204 and the lower sensor body 202. For example, as shown in the illustrated embodiment, the upper sensor body 202 can include a protrusion and/or recess for receiving one end of the biasing member 216. In some embodiments, the biasing member 216 is adhered to the inner surface of the upper sensor body 204. As discussed above, the biasing member 216 can space the upper sensor body 204 from the lower sensor body 202.

In some embodiments, the biasing member 216 can be positioned at an approximate center of the nose sensor 200 along a longitudinal axis of the nose sensor 200 that extends from a front portion of the nose sensor 200 to a rear portion 200. For example, the biasing member 216 can be positioned at an approximate center of a width of the nose sensor 200 between lateral sides of the nose sensor.

The biasing member 216 can be positioned at the rear portion of the nose sensor 200. Such configurations can provide a symmetric restoring force, which can bias the nose sensor to the neutral position, as discussed herein.

For example, FIG. 2B illustrates an embodiment of an assembly of the nose sensor 200. As shown in the illustrated embodiment, when no biasing member 216 is coupled to the rear portion of the nose sensor 100, the front portion of the upper sensor body 204 and/or the lower sensor body 202 can rotate about the pin 214 towards one another.

In some embodiments, when no or minimal external forces are applied to the nose sensor, the biasing member 216 is not compressed or expanded and/or is minimally compressed and/or minimally expanded. In such configurations, as shown in at least FIG. 2A, in the neutral position, a rear portion of the upper sensor body 204 can be spaced apart from a rear portion of the lower sensor body 202. In such configurations, in a neutral position, a front portion of the upper sensor body 204 can be approximately parallel to a front portion of the lower sensor body 202. In some embodiments, in a neutral position, side walls of the lower sensor body 202 are generally parallel to side walls of the upper sensor body 204. In some embodiments, in the neutral position, the rear portion of the lower sensor body 202 is angled away from the upper sensor body 204.

When a force is applied to the biasing member 216, such as when an external force is applied to the nose sensor 200 to open the clip-type arrangement, the biasing member 216 can allow the upper sensor body 204 to rotate about the pin 214 relative to the lower sensor body 202 and/or the lower sensor body 202 to rotate about the pin 214 relative to the upper sensor body 204. In some embodiments, when an external force is applied to the nose sensor 200, the biasing member 216 can allow the upper sensor body 204 to rotate and/or tilt about the longitudinal axis of the nose sensor 200 relative to the lower sensor body 202, and/or the lower sensor body 202 to rotate and/or tilt about the longitudinal axis of the nose sensor 200 relative to the upper sensor body 204. In some configurations, the biasing member 216 can bias the upper sensor body 204 and/or the lower sensor body 202 to the neutral position, in which no and/or minimal external forces are applied. Thus, the biasing member 216 can allow the nose sensor 200 to comfortably be secured to a patient's nose. For example, the biasing member 216 can bias the lower sensor body 202 towards the wall of the patient's nose in use and/or the upper sensor body 204 towards the patient's nose in use.

In some embodiments, the biasing member 216 can be coupled to a rear portion of the upper sensor body 204 and the lower sensor body 202. For example, the biasing member 216 can be positioned rear of the joint 208, as shown in at least FIG. 2A. Thus, the biasing member 216 can space the upper sensor body 204 from the lower sensor body 202. As shown in at least FIG. 2A, for example, this can allow a greater range of rotation about the joint 208. Such configurations can allow for the nose sensor 200 to accommodate a greater variety of nose shapes and sizes.

In some embodiments, the biasing member 216 can act as a biasing member to bias the clip-type arrangement of the nose sensor 200 towards the neutral position. Such configurations can allow the joint 208 to be biased in various arrangements to accommodate different shaped and sized noses. For example, if the biasing member 216 acts behind the joint, as shown, the joint 208 can be biased in an upwards direction to accommodate larger-sized noses. In some embodiments, the biasing member 216 can be positioned in front of the joint 208. In such configurations, the joint 208 can be biased in a downwards direction to accommodate smaller -sized noses.

FIGS. 2A and 2B illustrate an embodiment of the nose sensor 200 including a joint 208. The joint 208 can include a prismatic joint, among other configurations. In some embodiments, the joint 208, alone, or in combination with the biasing member 216, can form a hinge-like configuration to allow the nose sensor to be opened and/or closed. The joint 208 can include a pin 214 positioned within a pin hole 212 and a slot 210.

As described above, the prismatic joint 208 can include an upper joint 208A and a lower joint 208B. The upper joint 208A can extend outwardly from a side wall of the upper sensor body 204 at an angle approximately perpendicular to an outer wall of the upper sensor body 204. The upper sensor body 204 can include the upper joint 208A on one or both sides of the upper sensor body 204. In some embodiments, the upper joint 208A can include a slot 210.

The lower joint 208B can extend outwardly from a side wall of the lower sensor body 202 at an angle approximately perpendicular to an outer wall of the lower sensor body 202. The lower sensor body 202 can include the lower joint 208B on one or both sides of the lower sensor body 202.

In some embodiments, the lower joint 208B can include a pin hole 212. The pin hole can be configured to receive a pin 214. For example, the pin 214 can include an axis of rotation extending through the pin 214 to allow the nose sensor 200 to rotate from the neutral position to an open position (for example, when the front portion of the upper sensor body 204 and the lower sensor body 204 rotate away from one other), the neutral position to a closed position (for example, when the front portion of the upper sensor body 204 and the lower sensor body 202 rotate about the axis of rotation towards one other), from the open position to the neutral position, from the closed position to the neutral position, from the closed position to the open position, and/or from the open position to the closed position.

In some embodiments, the pin 214 can be configured to slide through the pin hole 212. In some embodiments, the pin 214 is fixed and/or otherwise retained within the pin hole 212. The pin 214 can be arranged to rotationally couple the upper sensor body 204 to the lower sensor body 202, alone, or in combination with other features of the nose sensor 200. For example, the pin 214 can be configured to slide through the slot 210 formed in the upper joint 208A of the upper sensor body 204. In some embodiments, the pin 214 can be locked into place within the slot 210. In some embodiments, the slot 210 can allow for enhanced comfort to the patient when worn. For example, the slot 210 can allow the nose sensor 200 to accommodate a larger range of nose shapes and sizes. As shown in the illustrated embodiment, depending on the size and/or shape of the patient's nose, the pin 214 can translate from a first end of the slot 210 to a second end of the slot 210 such that the upper sensor body 204 can be spaced laterally closer to and/or farther away from the lower sensor body 202. In some embodiments, the pin 214 can be locked into place at a position spaced from the first end and/or the second end of the slot 210.

The joint 208 can advantageously allow motion about an axis of rotation extending though the pin 214. In some embodiments, the joint 208 can advantageously allow movement about the longitudinal axis of the sensor 200 (e.g., an axis extending from a front end to a rear end). In some embodiments, the joint 208 can advantageously allow movement about the longitudinal axis of the sensor 200 and/or the rotational axis of the pin 214. In some embodiments, the longitudinal axis of the sensor 200 is perpendicular to the rotational axis of the pin 214.

Such configurations can allow the nose sensor to accommodate various nose sizes and shapes. In some configurations, this improves comfort of wearing the nose sensor when worn. For example, the patient can wear the sensor comfortably with minimal adjustment once the sensor is attached to the patient's nose.

FIGS. 6A and 6B illustrate an embodiment of the nose sensor 200. As shown in FIGS. 6A and 6B, in some embodiments, the lower sensor body 202 includes two lower joints 208B. For example, the pin 214 can be configured to extend from a first lower joint to a second lower joint positioned on an opposite lateral side of the lower sensor body 202.

As shown in the illustrated embodiment, the slot 210 can be formed in a tongue 209. The tongue 209 can be integrally formed with and/or coupled to the upper sensor body 204. In some embodiments, the tongue 209 is positioned approximately at a center between side walls of the upper sensor body 204 and extends from a bottom surface of the upper sensor body 204. Accordingly, the tongue 209 can be positioned between the first and second lower joints 208B when assembled. Such configurations can limit lateral movement of the upper sensor body 204 relative to the lower sensor body 202.

FIG. 6B illustrates the upper sensor body 204 tilted relative to the lower sensor body 202. The slot formed in the tongue 209 can allow the upper sensor body 204 to tilt from one side to the other relative to the lower sensor body 202. As shown in the illustrated embodiment, the top wall of the lower joint 208B can limit the extent of the tilt. For example, the top wall of the lower joint 208B can limit the amount of rotation of the upper sensor body 204 about the longitudinal axis of the nose sensor 200 such that the top wall of the lower joint 208B acts as a stopper to limit rotation. In some embodiments, the lower joint 208 can be raised at various lengths to allow a lesser and/or greater amount of rotation about the longitudinal axis of the nose sensor 200.

The tongue 209 can entirely enclose the pin 214 when assembled. For example, in some configurations, the tongue 209 is configured to prevent the pin from translating in a forward-rearward direction, but allows the pin to translate in an upwards-downwards direction. In some embodiments, the tongue 209 at least partially encloses the pin 214. For example, the tongue 209 may only partially wrap around the pin 214 (for example, hook around) such that the upper sensor body 204 can be easily disassembled and/or detached from the lower sensor body 202.

FIGS. 7A and 7B illustrate cross-sectional views of an embodiment of the nose sensor 200. For example, FIG. 7A illustrates an example of a cross-sectional view of the sensor device 200 in a neutral position. FIG. 7B illustrates an example of a cross-sectional view of the sensor device 200 in a titled position. As shown in the illustrated embodiment, the pin 214 can extend through the pin hole 212 formed in the lower joints 208B and the slot 210 formed in the tongue 209 to rotatably connect the upper sensor body 204 to the lower sensor body 202.

FIGS. 8A and 8B illustrate rear views of an embodiment of the nose sensor 200. For example, FIG. 8A illustrates a rear view of the nose sensor in a neutral position, as described in more detail above. FIG. 8B illustrates a rear view of the nose sensor 200 in a tilted position, as described in more detail above. As shown in FIGS. 8A and 8B, the basing member 216 can act to allow the upper sensor body 204 to tilt and/or rotate relative to the lower sensor body 202 and return to a neutral position when no external forces are applied.

FIG. 9 illustrates an example of the axes of rotation and/or tilt of the nose sensor 200. For example, the nose sensor 200 can include a longitudinal axis 200A and a transverse axis 200B. The longitudinal axis can be approximately perpendicular to the transverse axis. As shown in the illustrated embodiment, the upper sensor body 204 is configured to rotate about the longitudinal axis. However, rotation about the transverse axis can be prevented. Such configurations can advantageously maintain an alignment between an emitter 252 and a diffuser 254 of the nose sensor, as described in more detail below.

As shown in at least FIG. 9, for example, the nose sensor 200 can include a grip portion 220. The grip portion 220 can be positioned towards a rear of the nose sensor 200. For example, the grip portion 220 can include one or more ribs 221 to allow a user to easily grip the nose sensor 200 to open and/or close the nose sensor 200. In some embodiments, the grip portion 220 includes three ribs 221. In some embodiments, the grip portion 220 includes one, two, four, five, and/or six or more ribs 221. The grip portion 220 can be positioned on a rear portion of the upper sensor body 204 and/or the lower sensor body 202.

FIG. 9 illustrates an embodiment of the nose sensor 200 having a cable 260. The cable 260 can be configured to transmit signals sensed by the nose sensor 200 and/or certain physiological parameters measured by the nose sensor 200 to a patient monitoring system. In some embodiments, the nose sensor 200 can wirelessly transmit data measured by and/or received by the sensor 200 to the patient monitoring device.

According to some embodiments described herein, the nose sensor 200 can measure various physiological parameters of a patient, as discussed above. As shown in FIG. 2A, for example, the nose sensor 200 can include an emitter 252 and a diffuser 254 to allow the nose sensor 200 to measure the patient's physiological parameters.

Various arrangements of the emitter 252 and the diffuser 254 can allow the nose sensor 200 to take more accurate measurements. For example, the emitter can be a light-emitting diode (LED). The emitter 252 can emit light of a certain wavelength. In some embodiments, the light emitter 252 can emit light of different wavelengths in sequence with only one emitter emitting light at a given time, thereby forming a pulse sequence. The number of emitters is not limiting and can range from two to eight. Detailed descriptions and additional examples of the light emitters are provided in U.S. Pat. No. 9,277,880, referenced above.

In some embodiments, the diffuser 254 can detect light from the emitter 252 after the light passes through and is attenuated by tissue of the patient's nose. For example, the diffuser 254 can comprise photodetectors, photodiodes, phototransistors, and/or the like. Additional details of the photodetector are described in U.S. Pat. No. 9,277,880, referenced above. The diffuser 254 can generate an electrical signal based on the detected light from the emitter 252. The signal of the detected light from the emitter 252 can be input into a signal processor described herein, such that the signal processor can process an output of the sensor 200.

FIGS. 10A and 10B illustrate an embodiment of the diffuser 254. The diffuser 254 can be positioned within the upper sensor body 204. For example, the upper sensor body 204 can include a recess 256 shaped to fit the diffuser 254. When assembled, the diffuser 254 can be positioned within the recess 256 of the upper sensor body 204. Such configurations can advantageously assist in desensitizing the nose sensor 200 to various geometric variations. For example, positioning the diffuser 254 within a recess 256 of the upper sensor body 204 can reduce the bulkiness and/or the obtrusiveness of the nose sensor 200. Thus, the recess 256 in the upper sensor body 204 can allow the nose sensor 200 to maintain a low profile (see FIG. 10A).

In some embodiments, the diffuser 254 is entirely positioned within the recess 256 of the upper sensor body 204. In some embodiments, the diffuser 254 is at least partially positioned within the recess 256 of the upper sensor body 204. For example, a portion of the diffuser 254 can extend outside of the recess 256 of the upper sensor body 204.

In some embodiments, the positioning of the diffuser 254 within the recess 256 of the upper sensor body 204 can allow for diffusers with increased thickness to be used. In some embodiments, the positioning of the diffuser 254 within the recess 256 of the upper sensor body 204 can allow for a diffuser 254 to be used with an increased diameter. In certain configurations described herein, the diffuser 254 positioning can advantageously provide greater homogeneity across the diffuser 254. Thus, the nose sensor 200 can more accurately receive signals and measure a patient's physiological parameters.

In some embodiments, the diffuser 254 can comprise silicone. For example, the diffuser 254 can include white silicone to reflect a greater amount of light and/or more accurately measure a patient's physiological parameters.

In some embodiments, the configurations described herein can allow the diffusion of light prior to entering the tissue. Such configurations can be advantageous because light is mixed before entering the tissue. Thus, the average path length across a light source (e.g., an LED) can be increased and the average path length across a light source can be more consistent, regardless of the nose orientation. For example, this can allow the nose sensor 200 to accommodate various nose shapes and/or sizes, while maintaining accurately measuring a patient's physiological parameters.

In some embodiments, the size and/or shape (e.g., thickness and/or diameter) of the diffuser 254 can help to avoid edge effects. Similarly, in some embodiments, the proximity of the diffuser 254 relative to the emitter 252 can help to avoid edge effects. Such configurations can advantageously help to desensitize the nose sensor 200 to geometric variability. For example, the size and/or shape of the diffuser 254 and/or the positioning of the diffuser 254 can allow the nose sensor 200 to accommodate various nose shapes and/or sizes, and/or accurately measure a patient's physiological parameters.

In some embodiments, the nose sensor 200 can include a cover 206. The cover 206 can be coupled to an outer wall of the upper sensor body 204 to enclose the diffuser 254. For example, the cover 206 can be coupled to the upper sensor body in a snap-fit configuration such that the cover 206 snaps into place to enclose the diffuser 254. In some embodiments, the cover can advantageously retain the diffuser 254 in the proper position.

For example, as shown in at least FIGS. 2A and 9, the nose sensor 200 can include an emitter 252. The emitter 252 can be positioned within the lower sensor body 202. For example, the lower sensor body 202 can include an opening formed in an inner wall of the lower sensor body 202 to allow the emitter 252 to more easily emit light.

In the neutral position, the emitter 252 can be positioned approximately parallel to the diffuser 254. In use, the emitter is positioned within the lower sensor body 202 such that the emitter 252 remains in alignment with the diffuser 254 as the nose sensor is attached to a patient. Thus, the emitter can remain in alignment with the diffuser 254 regardless of the shape and/or size of the patient's nose.

As shown in FIG. 10A, the emitter 252 can remain aligned with at least a portion of the diffuser 254 in use. For example, an emitter 252 active area can be positioned along at least a portion of the diffuser 254. Such configurations can allow the diffuser 254 and emitter to remain aligned. Such configurations can allow for greater homogeneity across the diffuser 254, as diffuser 254s with increased diameters and/or thicknesses can be used.

In use, when the nose sensor is attached to the patient (e.g., clipped onto the patient), the emitter 252 is configured to be positioned within the patient's nose, while the diffuser 254 is configured to remain outside of the patient's nose in alignment with the emitter 252. Thus, the nose sensor can accurately measure a patient's physiological parameters when the nose sensor 200 is attached to the patient.

FIG. 11 illustrates another embodiment of the nose sensor 300. The nose sensor 300 is similar to or identical to the nose sensor discussed above in many respects. As shown in FIG. 11, the nose sensor 300 can include an upper sensor body 304, a lower sensor body 302, and a joint 308, which can be respectively similar to the upper sensor body 204, the lower sensor body 202, and the joint 208 described above in connection with the nose sensor 200. The nose sensor 300 can include any one, or any combination, of features of the nose sensor 200.

For example, the nose sensor 300 includes a lower sensor body 302. The lower sensor body 302 may be the same or otherwise substantially similar to the lower sensor body 202 discussed above in connection with the nose sensor 200.

As shown in at least FIGS. 11-12E, the lower sensor body 302 can be generally curved. For example, the lower sensor body 302 can include a rear portion, an intermediate portion, and a front portion. The rear portion and the front portion of the lower sensor body 302 are connected by the intermediate portion. Generally, the rear portion, the intermediate portion, and the front portion of the lower sensor body 302 are integrally formed. As shown in the illustrated embodiment, the rear portion smoothly transitions to the front portion along the intermediate portion.

For example, as shown in FIGS. 12A-12E, the rear portion can be generally flat. The biasing member, as discussed in more detail below, can be attached to a flat portion of the rear portion of the lower sensor body 302. In some embodiments, the rear portion is angled upwards towards the joint 308.

Generally, the intermediate portion of the lower sensor body 302 can be curved and/or inclined. For example, the intermediate portion can be inclined from the joint towards the front portion. In some embodiments, the intermediate portion of the lower sensor body 302 is formed with the rear portion by a step. The step can be rounded, flat, curved, and/or squared. For example, the intermediate portion can be positioned at least partially above the rear portion when the lower sensor body 302 is positioned in the neutral position (for example, when no and/or minimal external forces are applied to the nose sensor).

In some embodiments, the front portion of the lower sensor body 302 is generally tapered and/or angled. For example, as shown, the front portion extends at an angle downwards relative to the intermediate portion away from the rear portion of the lower sensor body 302. Such configurations can advantageously allow at least the intermediate and/or front portion of the lower sensor body 302 to conform to an inner wall of the patient's nose. Thus, the lower sensor body 302 can more easily accommodate various nose shapes and sizes. This can enhance the overall comfort to the patient of wearing the nose sensor 300.

In some embodiments, the nose sensor 300 includes an upper sensor body 304. The upper sensor body 304 may be the same or otherwise substantially similar to the upper sensor body 204 discussed above in connection with the nose sensor 200.

As shown in at least FIGS. 11 and 13A-13B, the upper sensor body 304 can be generally curved. For example, the upper sensor body can include a rear portion, an intermediate portion, and a front portion. The rear portion and the front portion of the upper sensor body 304 are connected by the intermediate portion. Generally, the rear portion, intermediate portion, and the front portion of the upper sensor body 304 are integrally formed. As shown in the illustrated embodiment, the rear portion smoothly transitions to the front portion along the intermediate portion.

Generally, the intermediate portion of the upper sensor body 304 can be curved and/or inclined. For example, as shown in FIGS. 13A-13D, the intermediate portion can include a convex portion and a concave portion. As shown, as the upper sensor body 304 extends along a length of the nose sensor 300, the upper sensor body 304 is angled downwards towards from the rear portion towards the joint 308 along the convex portion and/or upwards towards the front portion from the joint 308 along the concave portion. As a result, an apex of the convex portion of the intermediate portion is positioned lower than an apex of the concave portion of the intermediate portion. Such configurations can advantageously follow or conform to a shape of a patient's nostril and/or curved nose shape.

In some embodiments, the front portion of the upper sensor body 304 is angled downwards away from the rear portion. In some embodiments, the front portion of the upper sensor body 304 includes the same and/or similar curvature and/or shape as the front portion of the lower sensor body 302 to allow the upper sensor body 304 and the lower sensor body 302 to remain spaced apart by a same distance along the length of the nose sensor 300 when the nose sensor is in the neutral position (for example, no and/or minimal external forces are applied to the nose sensor).

Such configurations of the nose sensor 300 described herein can advantageously conform to the inner and/or outer walls of the patient's nose and/or can accommodate various nose shapes and/or sizes. For example, in use, at least the front portion of the lower sensor body 302 can be configured to be inserted into and conform to a patient's nose and engage an inner side wall of the patient's nose. In such configurations, at least the concave portion of the intermediate portion and the front portion of the upper sensor body 304 can be configured to be secured to an outer wall of the patient's nose (for example, the alar region of the patient's nose). The general curvature and/or shape of the upper sensor body 304 and/or the lower sensor body 302 can allow the nose sensor 300 to easily accommodate various nose shapes and sizes. For example, the shape of the intermediate region and/or the front region of the lower sensor body 302 can conform to an inner surface of the patient's nose. In some examples, the shape of the intermediate region and/or the front region of the upper sensor body 304 can conform to an outer surface of the patient's nose. Such configurations allow the nose sensor 300 to maintain a low profile and/or thickness. In some embodiments, the upper sensor body 304 and/or the lower sensor body 302 can have a reduced width. The reduced thickness and/or width of the nose sensor 300 can reduce the overall bulkiness of the sensor. Accordingly, the nose sensor 300 can be relatively lightweight and take up less space when secured to the patient, inside and/or outside of the patient's nose. Thus, the nose sensor 300 can be less obtrusive and/or have enhanced aesthetics.

In some embodiments, the upper sensor body 302 can have an increased length relative to the lower sensor body 304. For example, the front portion of the upper sensor body can be positioned at least partially or in some instances entirely forwards of the lower sensor body 302. Such configurations can advantageously help to reduce stress and strain on the joint 308 and/or provide better coupling to the communications link.

In some embodiments, the upper sensor body 304 can be spaced apart from the lower sensor body 302 by a biasing member. The biasing member is similar to or identical to the biasing member 216 discussed above in many respects. For example, the biasing member 316 can be in contact with or be coupled to the upper sensor body 304 and the lower sensor body 302. For example, as shown in the illustrated embodiment, the upper sensor body 304 can include a protrusion and/or recess for receiving one end of the biasing member. In some embodiments, the protrusion and/or recess has an increased depth to reduce the likelihood that the biasing member would fall out and/or be disengaged from the nose sensor 300. In some embodiments, the biasing member is adhered to the inner surface of the upper sensor body 304.

In some embodiments, the nose sensor 300 includes a joint 308, which is similar or identical to the joint 208, in many respects. The joint 308 can include an upper joint 308A and a lower joint 308B. As shown, the lower joint 308B may be formed in the lower sensor body 302. For example, the lower joint 308B can be formed in the intermediate portion of the lower sensor body 302. In some embodiments, the lower joint 308B is formed in the step of the intermediate portion of the lower sensor body 302. Such configurations can provide a nose sensor 300 having a reduced profile, as the upper sensor body 304 may be positioned closer to the lower sensor body 302.

According to some embodiments described herein, the nose sensor 300 can measure various physiological parameters of a patient, as discussed above. As shown in FIG. 11, for example, the nose sensor 300 can include an emitter 352 and a diffuser 354 to allow the nose sensor 300 to measure the patient's physiological parameters. The emitter 352 and/or the diffuser 354 are similar to or identical to the emitter 252 and the diffuser 254 of the nose sensor 200, in many respects.

In some embodiments, the emitter 352 can be coupled to the upper sensor body 304 and the diffuser 354 can be coupled to the lower sensor body 302. However, in some embodiments, the emitter 352 can be coupled to the lower sensor body 302 and the diffuser 354 can be coupled to the upper sensor body 304.

For example, FIG. 11 shows an embodiment of the nose sensor 300 including the emitter 352 coupled to the upper sensor body 304. In some embodiments, the emitter 352 is positioned within an aperture in the upper sensor body 304. In some embodiments, the emitter 352 is coupled directly with an inner surface of the front portion of the upper sensor body 304. For example, the emitter 352 may not be positioned within an aperture in the upper sensor body 304. Such configurations can advantageously allow the emitter 352 to be positioned closer to the skin of the patient, which can help to maintain engagement between the emitter 352 and the patient. In some embodiments, the spacer 370 spaces the emitter outwardly from an inner surface of the upper sensor body 304. For example, the spacer 370 can be positioned between the inner surface of the upper sensor body 304 and the emitter 352.

As shown in FIG. 14, for example, the emitter 352 is encased and/or enclosed by a spacer 370. The spacer 370 can encase at least a portion of the emitter 352. For example, the spacer 370 can encase the emitter 352 leaving an inner face open (for example, a face of the emitter that faces the diffuser in use). For example, the spacer 370 can include an aperture in which the emitter 352 is positioned. In some embodiments, the spacer 370 can increase the amount of light that enters the patient's nose. For example, the spacer 370 can include a material that surrounds the emitter 352 and/or the aperture in the spacer 370 to guide light through the aperture in the spacer towards the patient's skin. The material can include white dynaflex, and/or ceramic, among other materials. The aperture can include coatings, such as a clear versaflex to guide light through the aperture.

In some embodiments, the diffuser 354 can be coupled to the lower sensor body 302. For example, the diffuser 354 can be adhered to an inner surface of the front portion of the lower sensor body 302. FIG. 15 illustrates an embodiment of the lower sensor body 302 including the diffuser 354. The lower sensor body 302 can include a lower sensor body cover 372 to cover at least a portion of the diffuser. The cover 372 can comprise silicone, such as a black silicone. In some embodiments, the cover 372 can advantageously provide a biocompatible barrier over the diffuser 354. In some embodiments, the black silicone of the cover 372 can help to prevent stray light from reaching the diffuser. Such configurations can advantageously provide more accurate measurements, as light emitted by the emitter 352 can be directed to the diffuser 354.

As discussed above, the emitter 352 can be coupled to the upper sensor body 304 and the diffuser 354 can be coupled to the lower sensor body 302. In some embodiments, the upper sensor body 304 is configured to conform to an outer surface of the patient's nose, while the lower sensor body 302 is configured to be inserted into a patient's nose and conform to an inner wall of the patient's nose. In use, the emitter 352 (for example, which is positioned outside of the nose) is configured to be directed towards the diffuser 354 (for example, which is positioned inside of the nose). Such configurations can provide more comfort to the patient. Such configurations can provide higher PI values, more stable ratios and/or measurements, and/or more accurate measurements of the patient's physiological parameters, among others.

FIG. 16 illustrates another embodiment of the nose sensor 400. The nose sensor 400 is similar to or identical to the nose sensor discussed above in many respects. As shown in FIG. 16, the nose sensor 400 can include an upper sensor body 404, a lower sensor body 402, and a joint 408, which can be respectively similar to the upper sensor body 204, 304, the lower sensor body 202, 302, and the joint 208, 308 described above in connection with the nose sensor 200, 300. The nose sensor 400 can include any one, or any combination, of features of the nose sensor 200, 300.

Although this disclosure has been disclosed in the context of certain preferred embodiments and examples, it will be understood by those skilled in the art that the present disclosure extends beyond the specifically disclosed embodiments to other alternative embodiments and/or uses of the disclosure and obvious modifications and equivalents thereof. In addition, while a number of variations of the disclosure have been shown and described in detail, other modifications, which are within the scope of this disclosure, will be readily apparent to those of skill in the art based upon this disclosure. It is also contemplated that various combinations or sub-combinations of the specific features and aspects of the embodiments may be made and still fall within the scope of the disclosure. Accordingly, it should be understood that various features and aspects of the disclosed embodiments can be combined with or substituted for one another in order to form varying modes of the disclosed.

Features, materials, characteristics, or groups described in conjunction with a particular aspect, embodiment, or example are to be understood to be applicable to any other aspect, embodiment or example described in this section or elsewhere in this specification unless incompatible therewith. All of the features disclosed in this specification (including any accompanying claims, abstract and drawings), and/or all of the steps of any method or process so disclosed, may be combined in any combination, except combinations where at least some of such features and/or steps are mutually exclusive. The protection is not restricted to the details of any foregoing embodiments. The protection extends to any novel one, or any novel combination, of the features disclosed in this specification (including any accompanying claims, abstract and drawings), or to any novel one, or any novel combination, of the steps of any method or process so disclosed.

Furthermore, certain features that are described in this disclosure in the context of separate implementations can also be implemented in combination in a single implementation. Conversely, various features that are described in the context of a single implementation can also be implemented in multiple implementations separately or in any suitable subcombination. Moreover, although features may be described above as acting in certain combinations, one or more features from a claimed combination can, in some cases, be excised from the combination, and the combination may be claimed as a subcombination or variation of a subcombination.

Moreover, while operations may be depicted in the drawings or described in the specification in a particular order, such operations need not be performed in the particular order shown or in sequential order, or that all operations be performed, to achieve desirable results. Other operations that are not depicted or described can be incorporated in the example methods and processes. For example, one or more additional operations can be performed before, after, simultaneously, or between any of the described operations. Further, the operations may be rearranged or reordered in other implementations. Those skilled in the art will appreciate that in some embodiments, the actual steps taken in the processes illustrated and/or disclosed may differ from those shown in the figures. Depending on the embodiment, certain of the steps described above may be removed, others may be added. Furthermore, the features and attributes of the specific embodiments disclosed above may be combined in different ways to form additional embodiments, all of which fall within the scope of the present disclosure. Also, the separation of various system components in the implementations described above should not be understood as requiring such separation in all implementations, and it should be understood that the described components and systems can generally be integrated together in a single product or packaged into multiple products.

For purposes of this disclosure, certain aspects, advantages, and novel features are described herein. Not necessarily all such advantages may be achieved in accordance with any particular embodiment. Thus, for example, those skilled in the art will recognize that the disclosure may be embodied or carried out in a manner that achieves one advantage or a group of advantages as taught herein without necessarily achieving other advantages as may be taught or suggested herein.

Conditional language, such as “can,” “could,” “might,” or “may,” unless specifically stated otherwise, or otherwise understood within the context as used, is generally intended to convey that certain embodiments include, while other embodiments do not include, certain features, elements, and/or steps. Thus, such conditional language is not generally intended to imply that features, elements, and/or steps are in any way required for one or more embodiments or that one or more embodiments necessarily include logic for deciding, with or without user input or prompting, whether these features, elements, and/or steps are included or are to be performed in any particular embodiment.

Language of degree used herein, such as the terms “approximately,” “about,” “generally,” and “substantially” as used herein represent a value, amount, or characteristic close to the stated value, amount, or characteristic that still performs a desired function or achieves a desired result. For example, the terms “approximately”, “about”, “generally,” and “substantially” may refer to an amount that is within less than 10% of, within less than 5% of, within less than 1% of, within less than 0.1% of, and within less than 0.01% of the stated amount. Additionally, as used herein, “gradually” has its ordinary meaning (e.g., differs from a non-continuous, such as a step-like, change).

The scope of the present disclosure is not intended to be limited by the specific disclosures of preferred embodiments in this section or elsewhere in this specification, and may be defined by claims as presented in this section or elsewhere in this specification or as presented in the future. The language of the claims is to be interpreted broadly based on the language employed in the claims and not limited to the examples described in the present specification or during the prosecution of the application, which examples are to be construed as non-exclusive. 

1. (canceled)
 2. A noninvasive physiological sensor configured to be secured to a portion of a user's body, the sensor comprising: a first body portion and a second body portion; an emitter configured to transmit light of one or more wavelengths into tissue of the portion of the user's body; a detector configured to detect light attenuated by the tissue of the portion of the user's body and generate an output signal based on the detected light; and a joint configured to couple the first and second body portions together, the joint comprising: a first hinge extending from the first body portion towards the second body portion, the first hinge comprising a slot extending along a portion of a length of the first hinge; a second hinge extending from the second body portion towards the first body portion, the second hinge comprising a first hole; a third hinge extending from the second body portion towards the first body portion, the third hinge comprising a second hole; a pin configured to rotatably couple the first hinge to the second and third hinges, the pin extending through the slot of the first hinge and the first and second holes of the second and third hinges and configured to allow the first body portion and the second body portion to rotate with respect to each other about a first axis extending through the pin; wherein the first hinge is positioned between the second and third hinges, and wherein, when the sensor is in a neutral position, the first hinge is spaced from the second hinge by a first gap and is spaced from the third hinge by a second gap; wherein, when the pin is positioned through the slot of the first hinge and the first and second holes of the second and third hinges, the slot of the first hinge allows the first body portion to translate along a length of the slot relative to the second body portion; and wherein the first and second gaps and the slot of the first hinge are configured to allow the first body portion to at least partially rotate about a second axis extending along a length of the sensor, the second axis being perpendicular to the first axis extending through the pin and perpendicular to a third axis extending along a height of the sensor.
 3. The noninvasive physiological sensor of claim 2, further comprising a biasing member coupled to the first and second body portions.
 4. The noninvasive physiological sensor of claim 3, wherein the first body portion comprises a cylindrical protrusion configured to receive a first end of the biasing member.
 5. The noninvasive physiological sensor of claim 4, wherein the second body portion comprises a cylindrical recess configured to receive a second end of the biasing member.
 6. The noninvasive physiological sensor of claim 2, wherein the emitter is coupled to the first body portion and the detector is coupled to the second body portion.
 7. The noninvasive physiological sensor of claim 2, wherein the first hinge extends from a center of a width of the first body portion.
 8. The noninvasive physiological sensor of claim 2, wherein at least one of the first body portion and the second body portion comprises a grip portion, the grip portion comprising one or more ribs extending from a surface of the at least one of the first body portion and the second body portion.
 9. The noninvasive physiological sensor of claim 2, further comprising a cable configured to transmit the signal outputted by the detector to a patient monitoring system.
 10. The noninvasive physiological sensor of claim 2, wherein the sensor is configured to wirelessly transmit the signal outputted by the detector to a patient monitoring system.
 11. The noninvasive physiological sensor of claim 2, wherein the first hinge comprises a first width and wherein the second and third hinges each comprise a second width, the second width being greater than the first width.
 12. The noninvasive physiological sensor of claim 2, wherein the first gap is equal to the second gap.
 13. The noninvasive physiological sensor of claim 2, wherein the joint prevents the first body portion from rotating with respect to the second body portion about the third axis.
 14. The noninvasive physiological sensor of claim 2, wherein the portion of the user's body is a nose.
 15. The noninvasive physiological sensor of claim 15, wherein at least one of the first body portion and the second body portion is curved to conform to a nose of the user.
 16. A noninvasive physiological sensor configured to be secured to a portion of a user's body, the sensor comprising: a first body portion and a second body portion; and a joint configured to couple the first and second body portions together, the joint comprising: a first hinge extending from the first body portion, the first hinge comprising a slot; a second hinge extending from the second body portion, the second hinge comprising a first hole; a third hinge extending from the second body portion, the third hinge comprising a second hole; a pin configured to rotatably couple the first hinge to the second and third hinges, the pin configured to extend through the slot of the first hinge and the first and second holes of the second and third hinges and further configured to allow the first body portion and the second body portion to rotate with respect to each other about a first axis extending through the pin; wherein the first hinge is positioned between the second and third hinges, and wherein, when the sensor is in a neutral position, the first hinge is spaced from the second hinge by a first gap and is spaced from the third hinge by a second gap; wherein the slot of the first hinge allows the first body portion to move toward or away from the second body portion along a second axis extending along a height of the sensor, the second axis being perpendicular to the first axis extending through the pin; and wherein the first and second gaps and the slot of the first hinge are configured to allow the first body portion to at least partially rotate about a third axis extending along a length of the sensor, the third axis being perpendicular to the first axis extending through the pin and perpendicular to the second axis extending along the height of the sensor.
 17. The noninvasive physiological sensor of claim 16, further comprising: an emitter configured to transmit light of one or more wavelengths into tissue of the portion of the user's body; and a detector configured to detect light attenuated by the tissue of the portion of the user's body and generate an output signal based on the detected light.
 18. The noninvasive physiological sensor of claim 16, wherein the first gap is equal to the second gap.
 19. The noninvasive physiological sensor of claim 16, wherein at least one of the first body portion and the second body portion is shaped to conform to a nose of the user.
 20. The noninvasive physiological sensor of claim 16, wherein at least one of the first body portion and the second body portion is curved to conform to a nose of the user. 